Senior Business Analyst – Provider Management
About The Position
We are seeking experienced Senior Business Analysts to support the Pennsylvania Medicaid Management Information System (PA MMIS) program, with a primary focus on Provider Management Module (PMM). This role is heavily focused on business analysis and requirements development, working closely with state stakeholders, business teams, and technical teams to define, refine, and validate business needs across complex Medicaid workflows. Candidates must bring strong domain expertise, executive presence, and the ability to translate business needs into clear, actionable requirements.
Requirements
- Strong experience as a Business Analyst on MMIS/MES or Medicaid systems
- Direct experience with Provider Management Modules (PMM) is required
- Deep understanding of Medicaid business processes and policy-driven systems
- Proven experience with:
- Requirements gathering and documentation
- SDLC processes and methodologies
- Gap analysis and solution validation
- Demonstrated ability to lead stakeholder sessions and interact with senior leadership
- High degree of professionalism, accountability, and integrity
- Technical & Tool Proficiency :
- Strong understanding of the Software Development Life Cycle (SDLC)
- Experience translating requirements into downstream artifacts (e.g., use cases, test scenarios)
- Proficiency with:
- Microsoft Office Suite (Word, Excel, PowerPoint, Visio)
- Azure DevOps (ADO) or similar tools
Responsibilities
- Business Analysis & Requirements Development (Primary Focus)
- Lead requirements gathering, analysis, and documentation for MMIS Provider Management
- Translate business needs into clear, structured, and testable functional requirements using standard methodologies (e.g., Actor–Action–Outcome)
- Conduct gap analysis (current vs. future state) and recommend solution approaches
- Ensure requirements traceability, validation, and alignment throughout the SDLC
- Support change impact analysis, defect triage, and resolution activities as needed
- Partner with technical and QA teams to ensure requirements are fully understood and implemented correctly
- Note: While familiarity with test artifacts is expected, this role is not testing-heavy and is primarily focused on requirements.
- Stakeholder Engagement & Facilitation
- Facilitate Joint Application Design (JAD) sessions and working sessions with business and technical stakeholders
- Engage effectively with state leadership, program stakeholders, and cross-functional teams
- Communicate complex business and technical concepts clearly to diverse audiences
- Drive alignment across stakeholders and ensure requirements reflect business priorities
- Leadership & Strategic Contribution
- Demonstrate strategic thinking by anticipating downstream impacts of requirements decisions
- Identify and proactively manage risks, issues, and dependencies
- Operate as a self-starter, capable of working independently while contributing to team objectives
- Support program-level goals and ensure alignment with broader MMIS initiatives
Benefits
- Medical / Dental / Vision Insurance – insurance premium assistance provided
- Additional Insurance (Life, Disability, etc.)
- Paid Time Off
- 401(k) Retirement Savings Plan & Health Savings Account
- Various training courses to promote continuous learning
- Corporate Wellness Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
11-50 employees
